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Mechanisms and benefits of oxygen delivered via high flow nasal cannula

Mechanisms and benefits of oxygen delivered via high flow nasal cannula
Mechanism Physiologic and clinical benefit
Small, pliable nasal prongs
  • Enhanced patient comfort
Heat and humidification
  • Facilitates removal of airway secretions
  • Avoids airway desiccation and epithelial injury
  • Decreased work of breathing
  • Enhances patient comfort
Washout of nasopharyngeal deadspace
  • Improved ventilation and oxygen delivery
Positive end-expiratory (PEEP) effect
  • Unload auto-PEEP (if present)
  • Decrease work of breathing
  • Enhance oxygenation
High nasal flow rate
  • Reliable delivery of fraction of inspired oxygen (FiO2)
  • Improved breathing pattern (eg, increased tidal volume, decreased respiratory rate)
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